Individual provider Active NPI

Milad Zadfar, DDS

  • General Practice Dentistry
  • Chatsworth, CA
National Provider Identifier
1699335497
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
103764 Issued in CA
Practice address
9929 Topanga Canyon Blvd
Chatsworth, CA 91311-3602
Phone
(818) 818-5123
NPI assigned
Jun 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 103764 CA Primary

Addresses

Primary practice location

9929 Topanga Canyon Blvd
Chatsworth, CA 91311-3602

Mailing address

9929 Topanga Canyon Blvd
Chatsworth, CA 91311-3602
Phone (818) 818-5123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103764CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anoosh Zadfar DDS, Dental Corporation General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1699335497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9929 TOPANGA CANYON BLVD",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113602",
            "telephone_number": "818-818-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9929 TOPANGA CANYON BLVD",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113602",
            "telephone_number": "818-818-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADFAR",
        "first_name": "MILAD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.